2011 Columbia Golf Application

ADivision of Thomas Media Group,LLC1806 Washington Street

Columbia,SC 29201

SPONSORSHIP PACKAGES SPONSORSHIP PACKAGES

ALLREGISTRANTS Toregister please complete this form andfax to Whitney at803-254-6557 .NOTE: Besuretolist the names of all participants and completecontact information

Full Name:___________________________________________________

Address:____________________________________________________

__________________________________________________________ City State Zip

Email:________________________________Phone__________________!Assign metoateamSponsorship Level:!Gold !Silver!Bronze!Hole !Foursome($500.00)!No,Thanks

AdditionalAttendees: Howmany additionalattendeeswouldyouliketo register?!1!2!3!NotSure

__________________________________________________________ Credit CArd#CVCExp. Date

__________________________________________________________Authorized Signature

$500 PER TEAM !4 PLAYERSPER TEAM"

$125PERGOLFERincludesgreenfees & cart,

breakfast, lunch and dinner

Registration: 8:30 amNetworking & Breakfast: 9:00 am-9:30am

Shotgun 10 a.m. Format: Captain’s Choice (4 man team)Wewill assign you to ateam if needed

For more detail&directionsto golfcourseVisitwww.blackexposouth.com

Attendee #2:_______________________________

Address:__________________________________

City,State,Zip:______________________________

Phone:___________________________________

Email:___________________________________

Attendee #3:_______________________________

Address:__________________________________

City,State,Zip:______________________________

Phone:___________________________________

Email:___________________________________

Attendee #4:_______________________________

Address:__________________________________

City,State,Zip:______________________________

Phone:___________________________________

Email:___________________________________

Registration Form

Please return the form and payment toBlack PagesUSA — 1806WashingtonStreet •Columbia, SC 29201

803-254-6404 •803-254-6557 fax

TitleSponsorship - $10,000 -Foursome forTournament -Name on Leader Board -Banner Hung at Event -MediaPromotion -Recognition at Event -Hole Sponsorship -Boothat Black Expo -10Black Expo Tickets -Invitation to VIP Reception

Gold Sponsorship - $5,000 -Foursome forTournament -Banner Hung at Event -Recognition at Event -Hole Sponsorship -Boothat Black Expo -8Black Expo Tickets -MediaPromotion -Invitation to VIP Reception

SilverSponsorship -$2,500-Foursomefor Tournament

-Recognition atEvent -MediaPromotion -6BlackExpo Tickets -Invitation to VIP Reception -Hole Sponsorship

Bronze Sponsorship -$1500-Foursomefor Tournament

-Recognition atEvent -Invitation to VIP Reception -4BlackExpo Tickets

Hole Sponsorship - $500 -Recognition atHole

flickr.com/photos/thomasmediagroup

Find us at “Black Expo South”twitter.com/blackexposouth